| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | 9401 AMBERGLEN BLVD STE 100 AUSTIN, TX 78729 | METROPOLITAN LIFE INSURANCE COMPANY | $22K | $6K | $28K | 29.85% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | 422 WAUPONSEE STREET MORRIS, TX 60450 | METROPOLITAN LIFE INSURANCE COMPANY | — | $4K | $4K | 4.21% |
| JAMES ZANDER3 | 4655 N. CENTRAL EXPWY 2ND FLOOR DALLAS, TX 75205 | METROPOLITAN LIFE INSURANCE COMPANY | -$125 | $3K | $3K | 3.38% |
| MARK METTILLE3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | — | -$3K | -$3K | -2.92% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | 422 WAUPONSEE STREET MORRIS, IL 60450 | SAFEGUARD HEALTH PLANS, INC | — | $362 | $362 | 7.63% |
| JAMES ZANDER3 | 4655 N. CENTRAL EXPWY 2ND FLOOR DALLAS, TX 75205 | SAFEGUARD HEALTH PLANS, INC | -$56 | $320 | $264 | 5.56% |
| MARK METTILLE3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | SAFEGUARD HEALTH PLANS, INC | — | -$279 | -$279 | -5.88% |
| MONTGOMERY MANAGEMENT0 Filed as: MONTGOMERY MANAGEMENT COMPANY | 801 LAKEVIEW DRIVE SUITE 305 BLUE BELL, PA 19422 | MONTGOMERY MANAGEMENT | — | $501K | $501K | — |
| ASSURED BENEFITS ADMINISTRATORS5 Filed as: ASSURED BENEFIT ADMINISTRATORS | 221 N KANSAS STREET STE 1610 EL PASO, TX 79990 | MONTGOMERY MANAGEMENT | — | $97K | $97K | — |
| JAMES ZANDER3 | 4655 N. CENTRAL EXPWY 2ND FLOOR DALLAS, TX 75205 | MONTGOMERY MANAGEMENT | — | $57K | $57K | — |
| CWI BENEFITS, INC.0 Filed as: CWI BENEFITS | PO BOX 6125 GREENVILLE, SC 29606 | MONTGOMERY MANAGEMENT | — | $34K | $34K | — |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 367 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 367 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MONTGOMERY MANAGEMENT | 157 | $0 |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 223 | $100K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 223 | $95K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 223 | $95K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 223 | $95K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 223 | $95K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 223 | $95K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 223 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.